| NPI | 1568064764 |
|---|---|
| Former Legal Business Name | MINDSET SUPPORT SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | JAMES OMOTOSHO Owner 443-992-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2022-11-09 |